Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.00 / $19.95 / $19.95	Facility		$19.00	$19.95	$19.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $19.57 / $367.12	Professional		$19.00	$19.57	$367.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.23 / $25.38 / $32.78	Facility		$24.23	$25.38	$32.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.66 / $26.65 / $34.26	Professional		$21.66	$26.65	$34.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.02 / $22.41 / $22.41	Facility		$17.02	$22.41	$22.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.02 / $22.41 / $37.59	Professional		$17.02	$22.41	$37.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $25.56 / $40.44	Professional		$19.00	$25.56	$40.44
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $19.00 / $31.25 / $31.25	Facility		$19.00	$31.25	$31.25
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $20.00 / $32.84	Professional		$19.00	$20.00	$32.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $50.00	Professional		$30.00	$30.00	$50.00
United Facility/Professional Professional Modifier Low / Median / High Price $34.22 / $39.70 / $49.00	Professional		$34.22	$39.70	$49.00